SHELBY AERO CLUB  Membership Application          Print this page, fill out and mail to address below with dues Name ______________________ Street Address _____________________ City __________________ State _____ Zip code _______ Phone _________________ Work __________________ Cell ___________________ Pager __________________ E-mail _______________________________________ Family - Names and Ages ___________________________________________________________________  Aircraft type and or ratings held _________________________________________________________________ Mail to: Shelby Aero Club at 3569 North 100 West, Shelbyville, Indiana 46176  Club phone / contact: Dan Catherman (Flight Care) 317 392-1408 Activities: Poker runs, Fly-ins, Cookouts, Trips, Fundraisers, and more! Meetings held: First Monday of each month at Shelbyville Airport (GEZ) Dues: $30.00 per year due January 1st